Ese twavuga ku ndwara ya lymphoma ifata uturemangingo tw’imitsi two hagati (CNS Lymphoma)?

Hari igihe dushobora guhura n'ibibazo by'umubiri mu buryo butunguranye, si byo se? Kubabara umutwe, kugorwa no kuvuga, cyangwa kumva ko nta cyo twitwaye. Hari igihe tutita cyane kuri ibi, ariko bishobora no kuba ibimenyetso by'indwara ikomeye. Uyu munsi, tugiye kuvuga ku bwoko bwa kanseri idasanzwe ariko iteje akaga ifata uturemangingo tw'imitsi yo hagati.

CNS lymphoma ni iki?

Noneho reka tubanze turebe icyo iyi lymphoma yo mu bwoko bwa central nervous system, cyangwa `(CNS Lymphoma)` ari cyo. `CNS` isobanura `Central Nervous System`. Muri make, iyi ni kanseri ikomeye cyane igaragara mu bwonko bwacu, ni ukuvuga ubwonko, umugongo (umutsi uri mu gice cy'umugongo), amazi yo mu bwonko (amazi akikije iyi mitsi), n'amaso (kuko amaso yegereye cyane ubwonko). Iyi ni imwe mu bwoko bwa lymphoma yitwa `(Non-Hodgkin lymphoma)` .

Iyi lymphoma ya 'CNS' itangirira mu turemangingo tw'amaraso twera tw'umubiri wacu twitwa lymphocytes . Izi lymphocytes ni zimwe mu bigize sisitemu yacu ya lymphatic. Wari uzi ko iyi sisitemu ya lymphatic ari igice cy'ingenzi cyane cy'ubudahangarwa bw'umubiri wacu. Ifasha umubiri wacu kurwanya indwara n'indwara zandura. Rero, iyo iyi lymphocyte igaragara gusa mu mitsi yacu yo hagati kandi ntiboneke ahandi mu mubiri, tuyita 'lymphocyte ya CNS y'ibanze' . Ariko, niba lymphocyte iboneka no mu bindi bice by'umubiri, harimo n'imitsi yo hagati, yitwa 'lymphocyte ya kabiri ya CNS '.

Nubwo iyi kanseri ishobora kwandurira umuntu uwo ari we wese, ishobora kwandurira cyane abantu bafite ubudahangarwa bw'umubiri budakomeye , nk'abafite agakoko gatera SIDA na SIDA , cyane cyane abagabo. Abantu barengeje imyaka 65 nabo bari mu kaga. Ariko, ni kanseri idakunze kugaragara cyane. Ndetse no mu gihugu nka Leta Zunze Ubumwe za Amerika, abantu bashya bagera ku 1,500 ni bo bavugwa buri mwaka. Rero, uko indwara yawe yaba imeze kose, itsinda ry'abaganga rizagufasha kubona uburyo bwiza bwo kuvura CNS lymphoma.

Ni ibihe bimenyetso bya CNS lymphoma?

Noneho reka turebe ibimenyetso by'iyi lymphoma ya 'CNS'. Mu by'ukuri, ibimenyetso biratandukanye bitewe n'aho iki kibyimba giherereye . Urugero, niba iki kibyimba kiri mu ruhu rutwikira ubwonko n'umugongo ( 'meninges' ), gishobora kutagira ibimenyetso. Ariko, niba hari ikibyimba hafi y'amaso, hashobora kubaho impinduka mu kureba. Cyangwa, niba hari ikibyimba mu gice cy'ubwonko kigenzura ingendo, hashobora kubaho kumva umuntu ahumye, impinduka mu kuringaniza nko mu gihe agenda.

Ibi ni ibimenyetso bisanzwe bya CNS lymphoma:

• Isesemi no kuruka
• Intege nke mu maboko, amaguru, cyangwa mu maso
• Intege nke ku ruhande rumwe rw'umubiri (hemiparesis)
• Ubumuga bwo kutumva, ubupfamatwi
• Kugorwa no kumira (dysphagia)
• Ibimenyetso by'umuvuduko w'ubwonko wiyongera (kuribwa umutwe cyane, urujijo, kubura aho ureba)
• Ibibazo byo kutabona neza (kubona nabi, kubona kabiri, kureba hejuru y'amazi )
• Impinduka mu miterere y'imitekerereze (kunanirwa kuvuga, kwibagirwa, kumva unaniwe)
• Indwara zo mu mutwe (ibi bishobora kwiyongera buhoro buhoro mu minsi cyangwa ibyumweru byinshi)
• Kudashobora kugenzura inkari n'umwanda (kunanirwa kwifata mu nkari no mu mwanda)

Ni iki gitera CNS lymphoma?

Hanyuma, reka turebe icyatera CNS lymphoma. Kimwe n'ubundi bwoko bwa lymphoma, CNS lymphoma ikura iyo uturemangingo two mu tunyangingo tw'amaraso dutangiye kwitwara nabi. Utwo tunyangingo twiyongera mu buryo butunguranye , tugacunga uturemangingo tuzima. Muri CNS lymphoma, uturemangingo dutangira gukura mu buryo budasanzwe ni lymphocytes, ubwoko bw'utunyangingo tw'amaraso tw'umweru twitwa B cells .

Abashakashatsi ntibaramenya neza impamvu lymphocyte iba uturemangingo twa kanseri, ariko bagaragaje ibintu bimwe na bimwe byongera ibyago byo kurwara CNS lymphoma.

Ibintu bishobora gutera CNS lymphoma

Hari indwara zimwe na zimwe zituma ubudahangarwa bw'umubiri bugabanuka zishobora kongera ibyago byo kurwara CNS lymphoma. Izi ngingo zirimo:

• VIH/SIDA (cyane cyane niba ufite ubwandu bwa virusi ya Epstein-Barr )
• Indwara ya Wiskott-Aldrich (WIS)
• Indwara isanzwe yo kubura ubudahangarwa bw'umubiri (CVID)
• Ataxia -telangiectasia
• Gukoresha imiti igabanya ubudahangarwa bw'umubiri nyuma yo guterwa ingingo

Ni gute CNS lymphoma ipimwa?

Muganga wawe ashobora kukugira inama yo gupima no gukoresha uburyo butandukanye kugira ngo umenye niba ufite CNS lymphoma. Iki gipimo cyitwa kandi kanseri ifata ingamba . Iki cyiciro cya kanseri gifasha abaganga gusobanukirwa uburyo kanseri yakwirakwiriye n'uburyo bwo kuvura bushobora kugira icyo bugeraho.

Uzakenera gukora ibi bizamini:

• Isuzuma ry'umubiri : Muganga wawe azasuzuma ubuzima bw'ubwonko bwawe, uruti rw'umugongo n'amaso. Azagukorera isuzuma ry'imitsi kugira ngo arebe uturemangingo tw'imitsi two hagati (CNS). Ashobora kandi gukora isuzuma ry'itara kugira ngo arebe ko hari ikibyimba inyuma y'ijisho.
• Ibizamini byo gufata amashusho : Kureba aho kanseri iri imbere mu mubiri, nka `(MRI)`, `(CT scan)` cyangwaMuganga wawe ashobora kugutegeka gupimwa PET. CNS lymphoma ntabwo ikwirakwira cyane irenga uturemangingo tw’imitsi. Ariko, ishobora gukwirakwira vuba muri ubwo buryo.
• Ibipimo by'amaraso : Ibipimo by'amaraso bishobora gusuzuma ibimenyetso bya kanseri mu turemangingo twawe. Ibi birimo kubara amaraso yose , inyigo y'imiti mu maraso, no gupima agakoko gatera SIDA .
• Gupima ingirangingo n'amazi : Icyitegererezo cy'amazi yo mu ruti rw'umugongo, umwongo , cyangwa ikibyimba ubwacyo gishobora gufatwa kugira ngo harebwe uturemangingo twa kanseri.

Ni ubuhe buryo bwo kuvura CNS lymphoma?

Mu by’ukuri, nta buryo bumwe bushoboka bwo kuvura CNS lymphoma. Ahubwo, itsinda ry’abaganga rizagusaba gahunda y’ubuvuzi ikubereye neza hashingiwe ku bintu nk’imyaka yawe, niba urwaye virusi itera SIDA, ndetse niba kanseri iherutse kuvurwa cyangwa yagarutse nyuma yo kuvurwa (isubiramo) . Akenshi, hazakoreshwa uburyo butandukanye bwo kuvura.

Uburyo bwo kuvura CNS lymphoma ni ubu:

• Ubwivumbure : Ibi bikubiyemo gukoresha imiti yica uturemangingo twa kanseri. Umuti wa chimiotrexate (HD-MTX) ukoreshwa cyane mu kuvura CNS lymphoma nshya.
• Ubuvuzi bushingiye ku mirasire : Ubu bukoresha imirasire y'ingufu mu kwica uturemangingo twa kanseri. Ubwoko bumwe bw'ubuvuzi bushingiye ku mirasire bushobora gufasha kugabanya ibimenyetso ni imirasire y'ubwonko bwose . Buca uturemangingo twa kanseri mu bwonko bwose.
• Ubuvuzi bwibasiwe : Ubu buryo bukoresha ibintu nka poroteyine n'uturemangingo tw'umubiri kugira ngo bibasire uturemangingo twa kanseri. Rituximab na ibrutinib ni uburyo bwo kuvura bwibasiwe muganga wawe ashobora kukugira inama.
• Gutera uturemangingo tw’umugongo : Mu gutera uturemangingo tw’umugongo, uhabwa uturemangingo tw’amaraso tuzima kugira ngo dusimbure uturemangingo tw’amaraso twangiritse bitewe n’ubuvuzi bwa kanseri nka chimiotherapie na radiation therapy.
• Igeragezwa ry'ubuvuzi : Muganga wawe ashobora kukugira inama yo kwitabira igerageza ry'ubuvuzi ripima uburyo bushya bwo kuvura. Igerageza ririho ririmo kwiga uburyo imiti mishya yo kuvura hamwe n'imiti mishya ya chimiotherapie ikora neza mu kuvura CNS lymphoma.

Niba wanduye agakoko gatera SIDA cyangwa urwaye SIDA, ugomba gukomeza imiti igabanya ubukana bwa virusi itera SIDA (ART) mu gihe urimo kuvurwa CNS lymphoma.

Ni izihe ngorane n'ingaruka mbi zo kuvurwa?

Kuvura CNS lymphoma bishobora gutera ingaruka mbi . Muganga wawe azagusobanurira mbere y'igihe. Urugero, imirasire y'ubwonko bwose yica uturemangingo twa kanseri mu bwonko. Ariko, ishobora no gutera ingaruka mbi zikomeye zishobora kugira ingaruka ku mikorere y'ubwonko bwawe. Uburyo bwose bwo kuvura bufite ingaruka mbi.

Vugana na muganga wawe ku byiza n'ingaruka z'uburyo bwo kuvura. Baza niba bagusaba ubuvuzi butuma ubabara, bushobora kugufasha guhangana n'ingaruka mbi ndetse n'ingaruka rusange za kanseri ku buzima bwawe.

Ni iki nakwitega muri iki kibazo?

CNS lymphoma ni kanseri ikura vuba , kandi ifite amahirwe menshi yo kugaruka nyuma yo kuvurwa. Ariko, amahirwe yawe yo gukira, cyangwa ubwiyongere bw'indwara , biterwa n'ibintu byinshi byihariye. Ibi bintu birimo:

• imyaka yawe
• Imiterere y'ubuzima bwawe muri rusange
• Uhagaze ku kibazo cya virusi itera SIDA
• Aho ikibyimba giherereye
• Ibisubizo by'ibipimo by'imiti mu maraso yawe (ibi bishobora kwerekana uburyo kanseri yagize ingaruka ku ngingo z'imbere)

Itsinda ry'abaganga bawe rizakorana nawe kugira ngo bashake gahunda y'ubuvuzi iguha amahirwe yo kubaho neza idatuma ubuzima bwawe burushaho kuba bwiza.

Igipimo cyo gukira kwa CNS lymphoma ni ikihe?

Abashakashatsi batangaza ko abantu barwaye kanseri runaka barokoka bareba umubare w’abantu barwaye kanseri runaka bakiriho nyuma y’igihe runaka, akenshi imyaka itanu. Igipimo cy’imyaka itanu ku bantu barwaye CNS lymphoma ni hafi 30% . Ibyo bivuze ko abantu batatu muri buri icumi barwaye CNS lymphoma baba bakiriho nyuma y’imyaka itanu.

Ariko, iyi mibare ni rusange cyane . Ntiyitaye ku bindi bintu byihariye bigira ingaruka ku mahirwe y'umurwayi yo kurokoka. Urugero, niba ubudahangarwa bw'umubiri bwawe butacitse intege, cyangwa niba lymphoma itarakwirakwira mu bwonko, umusaruro uba mwiza kurushaho. Nanone, iyi mibare yo kurokoka ntabwo igaragaza uburyo uburyo bushya bwo kuvura burimo kugira ingaruka ku mibereho yawe.

Muganga wawe ni we muntu mwiza wo gusobanura ahazaza hawe hashingiwe ku buzima bwawe n'indwara yawe yihariye ya kanseri.

Nitwara nte?

Kubana na lymphoma bishobora kugorana cyane . Ushobora kumva uhangayitse ku bipimo n'ubuvuzi ugomba kunyuramo. Ushobora kuba utazi uko wabwira abandi uko wumva umeze.

Ni mu gihe nk'iki,Ugomba kugerageza kubona ubufasha bwose bushoboka . Ibyo bishobora gusobanura kuganira n'abo ukunda, nubwo byaba bigoye. Cyangwa, bishobora gusobanura kubaza muganga wawe ibijyanye n'ubuvuzi bugabanya ububabare cyangwa amatsinda y'abaterankunga . Urugendo rwa buri wese ku ndwara ya kanseri ruratandukanye. Ariko ni ngombwa kuvugana n'abandi muri buri ntambwe y'urugendo.

Ni ryari ngomba kubonana na muganga?

Nubwo CNS lymphoma yawe yaba iri mu nzira yo koroherwa (ni ukuvuga ko utagifite ibimenyetso cyangwa ibimenyetso bya kanseri), uzakenera kwisuzumisha buri gihe kugira ngo urebe niba icyorezo cya kanseri cyakongera kugaruka. Uzakenera kujya kwa muganga kenshi mu myaka itanu ya mbere nyuma yo kuvurwa. Ibi biterwa nuko ahenshi CNS lymphoma igaruka iba mu myaka itanu ya mbere.

Ni ibihe bibazo ngomba kubaza muganga?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• Ni ibihe bipimo nzakenera kugira ngo menye gahunda yanjye yo kuvurwa?
• Ni izihe ngaruka n'inyungu zo kuvurwa mu buryo butandukanye?
• Ni kangahe nzaza kwipimisha kugira ngo ndebe uko kanseri ikira iyo ivuwe?
• Ese nujuje ibisabwa kugira ngo nkore igerageza ry’ubuvuzi ? Ese urabisaba?
• Wansaba ubuvuzi butuma nduhuka?

Ubutumwa bw'ingenzi cyane ugomba kujyana mu rugo

CNS lymphoma ni indwara ikomeye isaba gukurikiranirwa hafi no gukorerwa gahunda yo kuvura ijyanye nawe. Ni ngombwa gukorana bya hafi n'itsinda ry'abaganga bafite uburambe mu kuvura lymphoma cyangwa kanseri zigira ingaruka ku mitsi yo mu bwonko (CNS).

Itsinda ry'abaganga bawe rishobora gusobanura uburyo bwo kuvurwa, kugufasha gusuzuma ibyiza byabyo n'ingaruka zishobora kubaho cyangwa ingaruka mbi, no kuguhuza n'inzobere mu kwita ku burwayi butuma ubabara bashobora kuguha ihumure mu gihe ufata icyemezo cy'intambwe zikurikiraho.

` CNS lymphoma, uturemangingo tw'imitsi two hagati, kanseri, kanseri y'ubwonko, lymphoma, uturemangingo tw'ubudahangarwa bw'umubiri, uburyo bwo kuvura